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回顾脊柱年度会议上作者财务披露报告的一致性发现,14年后改进情况并不一致。

Revisiting the Consistency of Financial Disclosure Reporting by Authors at Annual Spine Conferences Shows Inconsistent Improvements After 14 Years.

作者信息

Kim Lucas Y, Grauer Jonathan N

机构信息

Yale School of Medicine.

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.

出版信息

Clin Spine Surg. 2025 Jul 1;38(6):E334-E339. doi: 10.1097/BSD.0000000000001736. Epub 2024 Nov 18.

DOI:10.1097/BSD.0000000000001736
PMID:39774379
Abstract

STUDY DESIGN

Cross-sectional study of presenter disclosures from the 2022 North American Spine Society (NASS), Scoliosis Research Society (SRS), and Cervical Spine Research Society (CSRS) annual research conferences.

OBJECTIVE

The current study aimed to evaluate the consistency of financial disclosures for authors presenting at multiple 2022 spine conferences and compared results to those previously reported in 2008.

SUMMARY OF BACKGROUND DATA

Transparent reporting of financial relationships between physicians and industry is seen as an important way to limit/address potential bias. Thus, many research conferences require authors to disclose such relationships. Despite these requirements, variability in the financial disclosure reporting for matched speakers at 2008 major spine conferences was previously reported. Since then, the Sunshine Act mandated public financial relationships, potentially furthering attention and leading to improvements in financial disclosures.

METHODS

Disclosures of authors presenting at >1 of the three 2022 spine conferences were compiled from conference websites, and discrepancies were determined based on conference disclosure policies. For comparisons where both conferences required disclosure of all relationships, the discrepancy was identified if there was not a match. For comparisons where 1 conference required paper-specific relationships, and the other required all relationships, discrepancy was identified if the first was not a subset of the other. Results were compared with those reported from 2008.

RESULTS

NASS and SRS both required disclosure of all relationships, had 208 overlapping authors, and had 36.5% discrepancies. SRS and CSRS required all and paper-specific disclosures, had 37 overlapping authors, and had 29.7% discrepancies. NASS and CSRS required all and paper-specific disclosures, had 81 overlapping authors, and had 29.6% discrepancies. Overall, the average discrepancy for pairs of conferences in 2008 was 26%, and for 2022 was 32%, indicating a lack of improvement. Compared with 2008, discrepancies decreased more when disclosure requirements were the same for both conferences being considered.

CONCLUSIONS

These findings demonstrate that significant variability remains in the reporting of financial conflicts of interest by authors presenting at 3 major spine conferences last year, despite previous scrutiny and the evolution of the Sunshine Act. These discrepancies may reflect the ambiguity caused by different disclosure policies and further attention is needed for this topic.

摘要

研究设计

对2022年北美脊柱协会(NASS)、脊柱侧弯研究协会(SRS)和颈椎研究协会(CSRS)年度研究会议上报告人的披露情况进行横断面研究。

目的

本研究旨在评估在2022年多个脊柱会议上发表报告的作者财务披露的一致性,并将结果与2008年之前报告的结果进行比较。

背景数据总结

医生与行业之间财务关系的透明报告被视为限制/解决潜在偏倚的重要方式。因此,许多研究会议要求作者披露此类关系。尽管有这些要求,但此前有报告称,2008年主要脊柱会议上匹配演讲者的财务披露报告存在差异。自那时以来,《阳光法案》要求公开财务关系,这可能进一步引起关注并促使财务披露得到改进。

方法

从会议网站收集在2022年三个脊柱会议中参加超过一场会议的作者的披露信息,并根据会议披露政策确定差异。对于两个会议都要求披露所有关系的比较,如果没有匹配项,则确定存在差异。对于一个会议要求披露特定论文的关系而另一个会议要求披露所有关系的比较,如果前者不是后者的子集,则确定存在差异。将结果与2008年报告的结果进行比较。

结果

NASS和SRS都要求披露所有关系,有208名重叠作者,差异率为36.5%。SRS和CSRS分别要求披露所有关系和特定论文的关系,有37名重叠作者,差异率为29.7%。NASS和CSRS分别要求披露所有关系和特定论文的关系,有81名重叠作者,差异率为29.6%。总体而言,2008年会议对的平均差异率为26%,2022年为32%,表明没有改进。与2008年相比,当所考虑的两个会议的披露要求相同时,差异减少得更多。

结论

这些发现表明,尽管此前进行了审查且《阳光法案》有所演变,但去年在三大脊柱会议上发表报告的作者在财务利益冲突报告方面仍存在显著差异。这些差异可能反映了不同披露政策造成的模糊性,对此主题需要进一步关注。

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